Credit Balance Specialist
Description
This position is not remote. Monday and Friday work from home. Tuesday, Wednesday and Thursday onsite.
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you’ll be doing:
The Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
The Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
- Proactively resolve any refund request issues by seeking out and identifying payor trends
- Working credit balance accounts as required
- Research accounts and work each refund request letter as a denial
- Monitor and maintain a high level of productivity and quality of work
- Keep management abreast of both successes and problems as they occur
- Research requests for refunds
- Verify refund is necessary prior to initiating a refund
- Verify accuracy of adjustments posted to the account prior to initiating a refund; including UCR guidelines
- Verify the accuracy of payments posted to the account prior to initiating a refund
- Print all backup documentation associated with refund
- Work all refunds in order specified by the Supervisor
- Make copies of all pertinent information for the refund to be mailed with the refund check
- Accurately and timely log refund batches on daily refund spreadsheet
- Meet or exceed daily production goals as set by the Management
- Maintain published quality standards on QA audits
- Any other duties deemed necessary
Who/What we are looking for:
- Understand payer EOBs and identify posting errors of payments and adjustments.
- Must be extremely detail oriented, organized and a self-starter capable of tracking to deadlines and meeting goals.
- Ability to work autonomously and as a team member, with little supervision required once a goal is assigned.
- Excellent verbal and written communications skills.
- Strong analytical and problem-solving skills
- Strong desktop PC skills in MS Excel
- Ability to work well in a team environment
- Understanding of primary/secondary/tertiary payor relations
- Computer Application Skills: Word, Excel, Windows, & Outlook
This position is eligible for our corporate benefits, please click this link for the details: https://myscpbenefits.com/
SCP HSCP Health and its affiliated companies (collectively, “SCP Health”) require applicants for specific positions, such as those onsite at a client company/healthcare facility or affiliate to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health’s vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment for onsite positions at a client company/healthcare facility. SCP health will consider religious and/or medical/disability accommodation and other legally required exemption request as required by applicable law.
Join our social circle:
SCP Health is an Equal Opportunity Employer.